The Transparency in Coverage Final Rules (and related sub-regulatory guidance (see Q&A-1 and 2)) require non-grandfathered group health plans to disclose on a public website information regarding: (1) the in-network provider rates for covered items and services (see “in-network-rates” in filename); and (2) the historical out-of-network allowed amounts and billed charges for covered items and services (see “allowed-amounts” in filename) in two separate machine-readable files (MRFs). The files must, in part, also include plan option/coverage identifier information; billing codes to identify items and services for claims processing; and all applicable rates.
The MRFs for the non-grandfathered group health plan(s) in the CoreCivic of Tennessee, LLC Group Plan and the CoreCivic of Tennessee, LLC SCA Employee Benefit Plan are hosted by United Healthcare (UHC) on behalf of the CoreCivic plans and are linked here: www.transparency-in-coverage.uhc.com
The MRFs for the non-grandfathered group health plan(s) in the CoreCivic of Tennessee, LLC Group Plan and the CoreCivic of Tennessee, LLC SCA Employee Benefit Plan are hosted by United Healthcare (UHC) on behalf of the CoreCivic plans and are linked here: www.transparency-in-coverage.uhc.com